Individual provider Active NPI

Gina Winans, DPT

  • Physical Medicine & Rehabilitation Physician
  • Anaheim, CA
National Provider Identifier
1336801299
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
301064 Issued in CA
Practice address
215 N State College Blvd Ste G
Anaheim, CA 92806-2932
Phone
(714) 999-6596
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 301064 CA Primary

Addresses

Primary practice location

215 N State College Blvd Ste G
Anaheim, CA 92806-2932

Mailing address

215 N State College Blvd Ste G
Anaheim, CA 92806-2932
Phone (714) 999-6596

Other identifiers 1

IdentifierTypeStateIssuer
301064MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL 809070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Therapy Solutions Single Specialty CurrentSince Apr 22, 2022 Accepting new patients
Newsport Physical Therapy Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
California Therapy Solutions CurrentSince Apr 22, 2022 Accepting new patients
California Luna Care Physical Therapy PC Single Specialty CurrentSince Oct 3, 2022 Accepting new patients
State College Physical Therapy Inc Single Specialty PastSince Oct 10, 2021 Accepting new patients
State College Physical Therapy Single Specialty PastSince Oct 10, 2021 Accepting new patients

Locations

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

2290 SE Bristol St
Newport Beach, CA 92660
Phone (949) 261-6101

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1336801299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD STE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062932",
            "telephone_number": "714-999-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N STATE COLLEGE BLVD STE G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062932",
            "telephone_number": "714-999-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINANS",
        "first_name": "GINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "301064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301064",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "809070",
            "affiliation": "N",
            "address_1": "215 N State College Blvd Ste G",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928062932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.